| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,734 |
5,416 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,188 |
1,177 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
622 |
621 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
115 |
115 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
213 |
206 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
115 |
$1K |
| 96373 |
|
204 |
194 |
$999.29 |
| 99385 |
|
45 |
45 |
$379.48 |
| 1125F |
|
62 |
60 |
$350.00 |
| 1158F |
|
59 |
57 |
$280.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$124.02 |
| 96127 |
|
124 |
122 |
$79.81 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
35 |
35 |
$68.20 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$48.00 |
| 3074F |
|
802 |
761 |
$0.77 |
| 3078F |
|
554 |
532 |
$0.65 |
| 3079F |
|
609 |
583 |
$0.56 |
| 3075F |
|
209 |
200 |
$0.28 |
| 3077F |
|
207 |
200 |
$0.22 |
| 3080F |
|
75 |
74 |
$0.06 |
| 99499 |
|
32 |
32 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
25 |
25 |
$0.00 |